Table 3.
Factors associated with minimally adequate treatment for 915 respondents meeting DSM-IV MDE criteria nested in 65 clinics in the Dialogue Project in 2008
| |
Model with level 1 factors only |
Final model |
||||
|---|---|---|---|---|---|---|
| Coefficient | OR | 95% CI | Coefficient | OR | 95% CI | |
|
Individual characteristics |
|
|
|
|
|
|
| Intercept |
−0.72** |
0.49 |
0.31 - 0.78 |
−1.34*** |
0.26 |
0.14 - 0.48 |
| Age |
|
|
|
|
|
|
| 18-24 |
−0.43 |
0.65 |
0.4 - 1.05 |
−0.50* |
0.61 |
0.37 - 0.99 |
| 25-44 (ref) |
- |
1.00 |
- |
- |
1.00 |
- |
| 45-64 |
−0.18 |
0.83 |
0.61 - 1.13 |
−0.20 |
0.82 |
0.60 - 1.11 |
| 65+ |
−1.33*** |
0.27 |
0.14 - 0.52 |
−1.45*** |
0.23 |
0.12 - 0.47 |
| Sex |
|
|
|
|
|
|
| Male |
−0.06 |
0.94 |
0.68 - 1.3 |
−0.13 |
0.88 |
0.63 - 1.22 |
| Female (ref) |
- |
1.00 |
- |
- |
1.00 |
- |
| Has a family physician |
|
|
|
|
|
|
| Yes |
0.47* |
1.61 |
1.1 - 2.36 |
0.52** |
1.68 |
1.14 - 2.48 |
| No (ref) |
- |
1.00 |
- |
- |
1.00 |
- |
| Has a supplementary insurance coverage |
|
|
|
|
|
|
| Yes |
0.55*** |
1.73 |
1.3 - 2.3 |
0.53*** |
1.70 |
1.27 - 2.27 |
| No (ref) |
- |
1.00 |
- |
- |
1.00 |
- |
| At least one comorbid Anxiety Disorder |
|
|
|
|
|
|
| Yes |
0.58*** |
1.8 |
1.35 - 2.39 |
0.58*** |
1.79 |
1.35 - 2.39 |
| No (ref) |
- |
1.00 |
- |
- |
1.00 |
- |
| Severity of depressive symptoms (HADS depression sub-scale) |
0.07*** |
1.07 |
1.04 - 1.11 |
0.07*** |
1.07 |
1.04 - 1.11 |
|
Clinics characteristics |
|
|
|
|
|
|
| Psychotherapy available on-site |
|
|
|
|
|
|
| Yes |
|
|
|
0.38* |
1.46 |
1.06 - 2.02 |
| No (ref) |
|
|
|
- |
1.00 |
- |
| Number of GP using treatment algorithms with individuals suffering from anxiety or depressive disorders | ||||||
| All/Most |
|
|
|
0.40* |
1.49 |
1.07 - 2.08 |
| None/Some (ref) |
|
|
|
- |
1.00 |
- |
| Inadequate mode of remuneration to offer an “optimal level” of care for patients suffering from anxiety or depressive disorders | ||||||
| Not at all / Slightly |
|
|
|
0.46* |
1.58 |
1.07 - 2.35 |
| Fairly |
|
|
|
0.29 |
1.33 |
0.91 - 1.95 |
| Highly (ref) | - | 1.00 | - | |||
* p < 0.05 **p < 0.01 ***p < 0.001.